Hoang Bui Hai, Dao Xuan Dung, Nakahara Shinji, Sakamoto Tetsuya
Emergency Department and Intensive Care Unit, Hanoi Medical University, Hanoi, Vietnam.
Department of Emergency Medicine, Teikyo University School of Medicine, Tokyo, Japan.
Emerg Med Australas. 2018 Dec;30(6):867-869. doi: 10.1111/1742-6723.13134. Epub 2018 Jul 15.
Out-of-hospital cardiac arrest patients require immediate interventions by bystanders and emergency medical services (EMS). However, in many low- and middle-income countries (LMIC), bystanders witnessing a cardiac arrest rarely perform chest compressions and contact EMS. This paper attempts to draw lessons from a case of a patient with a cardiac arrest who could have survived with immediate interventions. A 40 year old man collapsed following electrocution at a construction site. His colleagues immediately transferred him to hospital via taxi, without performing chest compressions. At the hospital he showed ventricular fibrillation; resuscitation attempts failed and he died. Ventricular fibrillation due to electrocution is a benign type of cardiac arrest. The chance of survival increases with immediate chest compressions and prompt defibrillation. We discuss the reasons why the bystanders did not perform resuscitation or contact EMS and identify approaches for the improvement of pre-hospital care in LMICs.
院外心脏骤停患者需要旁观者和紧急医疗服务（EMS）立即进行干预。然而，在许多低收入和中等收入国家（LMIC），目睹心脏骤停的旁观者很少进行胸外按压并联系EMS。本文试图从一例心脏骤停患者的案例中吸取教训，该患者若能得到及时干预本可存活。一名40岁男性在建筑工地触电后倒地。他的同事立即用出租车将他送往医院，未进行胸外按压。在医院，他出现室颤；复苏尝试失败，最终死亡。触电导致的室颤是一种良性心脏骤停类型。及时进行胸外按压和迅速除颤可增加存活几率。我们讨论了旁观者未进行复苏或联系EMS的原因，并确定了改善低收入和中等收入国家院前护理的方法。
